| NPI | 1629701016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1-25-79389) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: ND RBT-22-220919) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-02-21 |